The combined surgery of off-pump coronary bypass graft with splenectomy in a patient with refractory immune thrombocytopenic purpura

Makiko Tani, Yukio Takahashi, Osamu Kobayashi, Kyoichi Nakamura, Hirotaka Oto

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Coronary artery bypass graft surgery in patients with, immune thrombocytopenic purpura (ITP) refractory to preoperative medical therapy accompanies an increased risk of bleeding perioperatively. In the ITP patient without responding to intravenous immunoglobulin and corticosteroids, we performed combined off-pump coronary artery bypass grafting with splenectomy to minimize the risk of intraoperative bleeding and cardiac ischemia. Using platelets infusion, we successfully managed the patient without major bleeding and ischemic events.

Original languageEnglish
Pages (from-to)196-199
Number of pages4
JournalJapanese Journal of Anesthesiology
Volume56
Issue number2
Publication statusPublished - Feb 1 2007
Externally publishedYes

Keywords

  • Idiopathic thrombocytopenic purpura
  • Off-pump coronary artery bypass graft surgery
  • Splenectomy

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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